If his mother hadn't been focused on getting a dentist for his brother, who had six rotted teeth.

By the time Deamonte's own aching tooth got any attention, the bacteria from the abscess had spread to his brain, doctors said. After two operations and more than six weeks of hospital care, the Prince George's County boy died.

Deamonte's death and the ultimate cost of his care, which could total more than $250,000, underscore an often-overlooked concern in the debate over universal health coverage: dental care.

Some poor children have no dental coverage at all. Others travel three hours to find a dentist willing to take Medicaid patients and accept the incumbent paperwork. And some, including Deamonte's brother, get in for a tooth cleaning but have trouble securing an oral surgeon to fix deeper problems.

In spite of efforts to change the system, fewer than one in three children in Maryland's Medicaid program received any dental service at all in 2005, the latest year for which figures are available from the federal Centers for Medicare and Medicaid Services.

The figures were worse elsewhere in the region. In the District, 29.3 percent got treatment, and in Virginia, 24.3 percent were treated, although all three jurisdictions say they have done a better job reaching children in recent years.

"I certainly hope the state agencies responsible for making sure these children have dental care take note so that Deamonte didn't die in vain," said Laurie Norris, a lawyer for the Baltimore-based Public Justice Center who tried to help the Driver family. "They know there is a problem, and they have not devoted adequate resources to solving it."

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My Pledge to the Readers of this Blog

The progress of social justice is slow and measured. Its growth depends on an increasing number of us becoming aware of the truth and consequences of our actions.

I believe that it is morally wrong to allow our wanton desires to interfere with the basic needs and interests of other sentient beings.

I believe the physical and psychological abuse – confinement, social deprivation, mutilation, genetic and reproductive manipulation, and profit exploitation – imposed by us on other animals is morally wrong.

I believe the suggestion that the exploitation of other sentient beings by humans can be achieved without cruelty, violence, or injustice is false and misleading.

As an advocate for all life, committed to compassion and justice, I refuse to take part in the exploitation of other sentient beings or to collaborate with those caught up in such injustice.

I pledge to do my best to live a life that conveys a clear, sincere and uncompromised message that is free of resentment, fear, exploitation, anger, cynicism, and manipulation.

Furthermore, I pledge to continue to support a broad range of nonviolent initiatives and programs that will hopefully one day eliminate the needless pain and suffering we inflict upon all the many wonderful creatures with whom we share this planet.